Job Description

Nurse Auditor - Compliance - Administration - Legal Services

The Valley Children's Hospital Compliance Nurse Auditor shall be responsible for assisting the Valley Children's Healthcare Corporate Compliance Officer with the development and facilitation of a comprehensive Corporate Compliance Program for Valley Children's Healthcare, which shall include auditing and monitoring, risk management, providing compliance education, and improvement programs for Valley Children's Healthcare. The Compliance Nurse Auditor shall provide support in organizing projects and teams for compliance initiatives, create statistical reports, analyze medical and billing records for compliance initiatives and investigations, and maintain the Valley Children's Healthcare Corporate Compliance database. The Compliance Nurse Auditor shall organize and coordinate the monitoring, evaluation, and continuous improvement activities and work collaboratively with various departments to facilitate the organization goals, mission and culture of Valley Children's Healthcare.

JOB REQUIREMENTS: Associates Degree in Nursing required, Bachelor's Degree in Nursing preferred, CA RN - Reg Nurse license required, CPC - Certified Professional Coder preferred, minimum three (3) years related experience required. Must have a broad based knowledge of the healthcare industry, hospital operations, hospital charging practices, and governmental coding requirements, including pediatric and Medi-Cal experience. Must have a broad based knowledge of hospital financial and clinical systems. Must possess experience in researching, interpreting and applying Medi-Cal, Medicare and other third party payer regulations. Must possess strong conceptual, problem solving and analytical skills, and the ability to work independently. Must possess strong project management, written and verbal communication skills.

JOB DETAILS: Full-time, Days


Application Instructions

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